弧形切口保乳术治疗乳腺癌患者的效果分析
梅小强 1 ,陈秀春 2 ,郭旭辉 2 ,李利飞 1
(1.新密市中医院普外二科,河南 新密 452370;2.河南省肿瘤医院乳腺科,河南 郑州 450000)
摘要 目的:分析弧形切口保乳术治疗乳腺癌患者的效果。 方法:选取 83 例乳腺癌患者,依照手术方法不同分为两组。 对照组 41 例,接受放射切口保乳术治疗,观察组 42 例,接受弧形切口保乳术治疗,比较两组治疗效果。 结果:两组切口长度、手术时间比较,均无统计学差异(P>0.05);观察组术中失血量较对照组少(P<0.05);观察组美容优良率 92.86%高于对照组 73.17%(P<0.05);两组切口感染、瘀斑、血肿发生率比较,均无统计学差异(P>0.05);两组术后 1 年转移率、复发率比较,均无统计学差异(P>0.05);术后 6 个月、1 年,两组生存质量均得到提升,且观察组 FACT-B 评分较对照组高(P<0.05)。 结论:弧形切口保乳术治疗乳腺癌,美容效果显著,并能减少术中失血量,提高生存质量,安全性较高。
关键词: 弧形切口;放射切口;保乳术;乳腺癌;美容
中图分类号:R737.9 文献标志码:A 文章编号:1008-2409(2022)03-0077-04
Efficacy of breast-conserving surgery by arcuate incision in patients with breast cancer
MEI Xiaoqiang 1 , CHEN Xiuchun 2 , GUO Xuhui 2 , LI Lifei 1 .(1. The 2 nd Department of General Surgery, Xinmi Hospital of Traditional Chinese Medicine, Xinmi 452370; 2. Dept. of Galactophore, Henan Cancer Hospital, Zhengzhou 450000, China)
Abstract Objective: To analyze the effect of breast-conserving surgery by arcuate incision on patients with breast cancer. Methods: 83 breast cancer patients were divided into two groups according to different surgical methods. 41 cases in the control group received breast-conserving surgery by radiation incision, while another 42 cases in the observation group were treated with breast-conserving surgery by arc incision, and the therapeutic effects were compared between the two groups. Results: There were no significant difference in the length of incision and operation time between the two groups(P>0.05), and the blood loss during the operation in the observation group was less than that in the control group(P<0.05); the excellent and good rate of beauty in the observation group was 92.86% the observation group, higher than 73.17% in the control group(P<0.05); there was no significant difference in the incidence of incision infection, ecchymosis, and hematoma between the two groups(P>0.05); there was no significant difference in the metastasis rate and recurrence rate in both groups one year after surgery(P>0.05); and 6 months and one year after surgery, the quality of life of patients in both groups were improved, and the FACT-B scores of the observation group were higher than those of the control group(P<0.05). Conclusion: Breast-conserving surgery by arcuate incision has a significant cosmetic effect for patients with breast cancer, and it can reduce intraoperative blood loss and improve the quality of life without increasing the risk of complications, recurrence and metastasis.
Keywords: arcuate incision; radiation incision; breast conserving surgery; breast cancer; beauty
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